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Montana rates for HCPCS 43113

Tot Esophg W/Thorcom W/Colon Ntrpstj/Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,867.33 / $4,316.50 / $22,179.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,728.14 / $6,728.14 / $6,728.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,793.70 / $6,728.14 / $12,457.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.36 / $5,505.18 / $8,327.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,311.22 / $6,877.50 / $11,460.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,963.26 / $7,461.73 / $9,128.50